青少年双相障碍门诊患者非自杀性自伤行为的调查分析

Investigation and analysis of non-suicidal self-injury behavior in adolescent bipolar outpatients

目的 调查青少年双相障碍门诊患者非自杀性自伤行为(NSSI)的发生情况及影响因素。方法 选取2020年1~12月就诊的172例青少年双相障碍患者,根据有无自伤,将患者分为NSSI组和非NSSI组;比较两组的性别、年龄、双相类型、父母婚姻状况、童年创伤等因素和自杀风险评估量表评分、贝克绝望量表评分差异。结果 NSSI行为发生率为34.3%,两组患者的性别、年龄、双相类型、父母婚姻状况、童年创伤等因素比较,差异无统计学意义(P>0.05)。NSSI组患者自杀风险评估量表和贝克绝望量表评分均高于非NSSI组患者,差异有统计学意义(P<0.01)。logistic回归分析显示,自杀风险程度及绝望程度是青少年双相障碍患者NSSI行为的危险因素(P<0.01)。结论NSSI行为在青少年双相障碍门诊患者中较为常见,自杀风险程度和绝望程度是NSSI行为的危险因素。

Objective To investigate the occurrence and influencing factors of non-suicidal self-injury behavior(NSSI)in adolescent bipolar outpatients. Methods One hundred and seventy-two adolescent patients with bipolar disorder who visited our hospital from January to December 2020 were selected and divided into the NSSI group and the non-NSSI group according to the presence or absence of self-injury. The differences in gender,age,bipolar type,parental marital status, childhood trauma, and other factors, suicide risk assessment scale score and Beck Hopelessness Scale score were compared between the two groups. Results The incidence of NSSI was 34.3%.There was no significant difference in sex,age,bipolar type,parental marital status, childhood trauma,and other factors between the two groups(P >0.05).The suicide risk assessment scale and Beck Hopelessness Scale scores in patients with NSSI were higher than those in patients without NSSI, and the differences were statistically significant(P<0.01).logistic regression analysis showed that suicide risk and hopelessness were risk factors for NSSI behavior in adolescent bipolar patients(P<0.01). Conclusion NSSI behavior is common in adolescent bipolar outpatients, and the degree of suicide risk and hopelessness are risk factors for NSSI behavior.